Whitley, Karl

Whitley, Karl was paid $10K by Medicaid between Oct 2020 and Feb 2022, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 54% of everything it billed.

33Billing provider infoWHITLEY, KARL
PHILA, PA 19140

33aNPI1407843956assigned 09/30/2005

33bProvider typeOtolaryngology Physician

28Total paid$10K

24GClaims275

24DCodes billed4

24AFirst – last monthOct 2020 – Feb 2022

Compared with peers

Next to other Otolaryngology Physician providers in Pennsylvania

Rank by total paid#78 of 136

Median peer was paid$13K

This provider vs. median0.7×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2020	18	$767.32
2021	224	$8K
2022	33	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	54%	174	173	$5K
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	30%	75	73	$3K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	10%	14	13	$994.07
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	6.0%	12	12	$596.75

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.